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Y Z

A
ADAMS
(MODIFICATION OF HERMODSSON'S VIEW)
The same as Hermodsson's view but with internal
rotation increased from 70 degrees to 100 degrees. See
Hermodsson’s view.
Ref:Rockwood and Green's
Fractures in Adults, Lippincott.
AHLBACK METHOD
Weight-bearing AP view of the knee in full extension.
ALBERS-SCHONBERG
Demonstrates the TMJs.
Head in the lateral position, then rotate the head 20 degrees
towards the film. Centre to the TMJ in contact with the film, with
the tube angled 20 degrees upwards.
ALEXANDER METHOD
View of the optic canal in cross section.
Both sides for comparison.
Patient sat with the back of head against the skull table. Upper
border of the skull table angled backward 15 degrees . Position
the patients head so that the midsagittal plane makes an angle of
40 degrees to the plane of the bucky. Head extended so that the
acanthomeatal line is at right angles to the plane of the bucky.
Centre to the lower outer margin of the orbit away from the film.
ALEXANDER METHOD (ACJ)
Routine lateral oblique view of the acromio-clavicular joint.
Ref: K.Clarke. Positioning in
Radiography, 11th Ed
ALEXANDER STRESS VIEW
View of the acromio-clavicular joint.
Position as for lateral scapula. Patient then asked to thrust the
affected shoulder forward.
Ref: Alexander, O.M.Radiography
of ACJ articulation, Med. Radiogra. 30:34-39, 1954.
ALTSCHUL
Position as for Townes (half-axial skull view) view but angle
35 degrees rather than 30 degrees.
ANTHONSON'S VIEW
Subtalar joint view.
Foot in the lateral position. Dorsi-flex the foot. Angle the
vertical central ray 25 degrees towards the foot and, 30 degrees
towards the toes. Centre immediately below the medial malleolus.
ARCELIN
Demonstrates the petrous temporal region.
Head in the AP position and rotate 45 degrees away from the side
being examined with the radiographic baseline at right angles to
the film. Centre to the baseline at a point 2.5cm in front of the
EAM, with the tube angled 10 degrees to the feet.
Ref: Goldman and Cope. A Radiographic Index. Wright
B
BALL CATCHERS VIEW
See Norgaads view.
BALL’S METHOD
(AP)
Pelvimetry view.
Patient erect, centre the horizontal beam to the midline at the
level of the superior border of the symphysis pubis.
BALL’S METHOD (LATERAL)
Pelvimetry view.
Patient erect in the lateral position. Centre horizontal central
ray to the level of the superior border of the acetabulum.
BECLERE METHOD
View of the intercondyloid fossa in profile.
Patient supine. Knee flexed so that the long axis of the femur is
at 120 degrees to the long axis of the tibia. Direct the central
ray at right angles to the long axis of the tibia and centre to
the knee joint.
BERQUIST VIEW
See Capitellum view
BERTEL
Demonstrates the orbital floors and the infra-orbital fissure.
Head in the PA position with radiographic baseline at right angles
to the film. Centre to the nasion with the tube angled 20 degrees
towards the head
Ref: Goldman and Cope.
A Radiographic Index. Wright Publishing, Bristol.
BETT'S VIEW
View to demonstrate the trapezium. Shows the trapezium without
the overlapping of other carpal bones.
Gedda / Betts or Clements view. It’s basically an offsetview where
you externally rotate the wrist and hand obliquly it to the image
plate at about 45 degrees, and angle cranially about 5 degrees It
not only gives you a full view of the trapezium, but it gives you
a good CMC view and then isolates the STT and TT joints. It helps
to stage arthritic disease and in the selection of surgical
technique
BIGLIANI'S VIEW (Y
VIEW)
Hip projection.
Pelvis in the AP position. Flex, abduct and externally rotate the
hip.
Centre to the hip joint.
BLACKETT-HEALY
METHODS
Shoulder views
1. A tangential projection of the insertion of the teres minor.
Patient prone. Internally rotate the arm, flex the elbow and place
the hand on the back. Centre to the head of the humerus.
2. A tangential
projection of the insertion of the subscapularis.
Patient supine. Abduct the arm, flex the elbow, and pronate the
hand. Centre to the shoulder joint.
BLONDEAU
OM facial bones overtilted by 5 degree
BLOOM AND OBATA
See Velpeau.
BRATTSTROM METHOD
Skyline patella.
BREWERTON'S VIEW
To show erosions of the metacarpal heads and the bases of the
phalanges.
Hand in the AP position i.e. palm facing upwards. The metacarpal-phalangeal
joints are flexed to 45 degrees with the phalanges in contact with
the film. Tube angled 20 degrees (from ulnar side) to the head of
the third metacarpal.
BRIDGEMAN VIEW
See Stecher Method, point 1.
BRODEN I
Subtalar joint view.
Foot positioned as for AP ankle, then rotate the foot 45 degrees
medially. Angled the tube cranially between 10 degrees and 40
degrees .
BRODEN II
Subtalar joint view.
Foot positioned as for AP ankle, then rotate the foot 45 degrees
externally. Angle the tube cranially 15 degrees.
Ref: Hansen and Swiontkowski, ORTHOPAEDIC TRAUMA PROTOCOLS,
Raven Press.
BUTTERFLY VIEWS
Elongated views of the rectosigmoid segments of large
intestine.
AP BUTTERFLY
Centre 5cm inferior to the anterior-superior iliac spine
(ASIS) and angle the vertical central ray 40 degrees towards the
head.
LPO BUTTERFLY
Centre 5cm inferior to and 5cm medial to the right ASIS. Angle the
vertical central ray 40 degrees towards the head.
PA BUTTERFLY
Centre to the ASIS and angle the vertical central ray 40 degrees
towards the feet.
RAO BUTTERFLY
Centre to the level of the ASIS and 5cm to the left of the lumbar
spinous processes. Angle the vertical central ray 40 degrees
towards the feet.
C
CAHOON
View to demonstrate the styloid processes of the skull.
Position as for
Bertel's view and angle the tube 25 degrees cranially.
Ref: Goldman and Cope.
A Radiographic Index. Wright Publishing, Bristol..
CALDWELL
Routine OF 20 view of the skull.
Ref: K.Clarke.
Positioning in Radiography. 11th Ed.
CAMP COVENTRY
METHOD
View of the intercondylar notch.
Patient prone. The tibia is elevated by 40-50 degrees. The central
ray is directed to the knee joint so that it makes a right angle
with the long axis of the tibia.
CAPITELLUM VIEW
(BERQUIST VIEW)
View to demonstrate fractures of the radial head.
Patient positioned as for lateral elbow. The tube is angled 45
degrees to the forearm along the humeral axis. Centre to the
radial headwards.
Ref: Berquist, T. (1993). Diagnostic Radiographic
Techniques in the Elbow. The Elbow and its Disorders, 2nd
ed. WB Saunders, Philadelphia 98-119.
CARPEL BOSS
Demonstrates bony protuberance on the dorsum of the wrist at
the level of the second and third carpo-metacarpal joints.Wrist
slightly ulnar deviated with the ulnar side to the cassette. 30
degree supination of the wrist to place the dorsal prominence at
the dorsoradial aspect of the second to third carpo-metacarpal
joints and at a tangent to the vertical central ray. Centre to
pass through the dorsal prominence.
Ref: Gilula and Yin. Imaging of the Wrist and Hand,
Saunders.
CARPAL BRIDGE VIEW
A tangential
projection of the carpus. Demonstrates fractures of the scaphoid,
lunate dislocations, and foreign bodies in the dorsum of the
wrist.
The back of the hand
rests on the cassette with the forearm at right angles to the
hand. Direct the central ray 4cm proximal to the wrist joint with
a 45 degree angle towards the fingers.
Ref: Lentino, W. et al
(1957). The carpal bridge view, J. Bone Joint Surg. 39-A:88-90.
CARPAL CANAL
Routine carpal tunnel
view.
Ref: K.Clarke.
Positioning in Radiography. 11th Ed.
CAUSTON METHOD
Oblique foot
projection to demonstrate the sesamoids.
Foot lateral with the
medial side against the cassette. Angle the central ray 40 degrees
towards the ankle and centre to the first metatarsophalangeal
sesamoids.
Ref: Causton, J.
(1943):Projection of the sesamoid bones in the region of the first
metatarsophalangeal joint, Radiology 9:39.
CHASSARD'S VIEW
View to show the
sigmoid colon.
Patient sits with
both legs over the side of the table and leans forward slightly. Centre fairly high up
the patients back.
CHAUSSE II
Oblique transoral
view of the foramen jugulare.
The patient is
positioned as for an AP skull with the mouth wide open. Rotate the
head 10 degrees away from the side in question. Direct the central
ray up through the open mouth so that it makes an angle of 35
degrees to a line joining the superior border of the EAM and the
anterior nasal spine.
Ref: Chausse, C.
(1950).Trois incidences pour l'exam du rocher, Acta Radiol.
34:274-287.
CHAUSSE III
Head in the PA
position then rotate the head 5-10 degrees towards the unaffected side. Centre along
the radiographic baseline midway between the outer canthus and the
EAM.
CHAUSSE IV
See Stenvers view
(C-Ear).
CINCINATTI VIEW
Supine chest x-ray
coned to the mediastinum, a high kV filter is used.
The filter consists
of 0.5mm copper and 0.4mm tin inserted so that the copper layer is
nearest the tube. A CT scoutview (topogram)
is an alternative.
CLEAVES METHOD
(HIP)
Axial projection of
the femoral heads, necks, and trochanteric areas projected onto
one film. Position as a
frog-leg lateral and centre to the symphysis pubis with the
central ray angled to be parallel with the long axes of the
femoral shafts.
CLEAVES METHOD
(SHOULDER)
An axial projection
of the shoulder.
This technique
requires non-cassette film.
Ref: Cleaves, E.N.(1941).A
new film holder for roentgen examination of the shoulder, A.J.R.
45:288-290.CLEMENTS view. It’s
basically an offsetview where you externally rotate the wrist and
hand obliquly it to the image plate at about 45 degrees, and angle
cranially about 5 degrees It not only gives you a full view of the
trapezium, but it gives you a good CMC view and then isolates the
STT and TT joints. It helps to stage arthritic disease and in the
selection of surgical technique
CLEMENTS NAKAYAMA
METHOD
Lateral view of
acetabulum and femoral head.
This method can be
used where the opposite hip cannot be raised for a horizontal beam
lateral hip.
COALITION VIEW
Demonstrates a
calcaneotalar coalition.
Patient standing with
the cassette under the long axis the calcaneum. Angle the central
ray 45 degrees and direct it through the posterior surface of the
flexed ankle to the level of the base of the fifth metatarsal.
COBEYS VIEW
is a
weight bearing AP ankle
projection used to demonstrate the angulation between the long
axix of the calcaneum and
the tibia (some call it a
Buckview)
It is a PA projection
done on a special radiolucent platform. The patient stands on the
platform equal weight on both feet with the toes on the side of
interest against a 7 X 17 IR. (no grid, 40 SID) The platform holds
the IR at a 20 degree tilt from vertical (away from the patient)
The CR is angled
caudal at 20 degree centered at the level of the ankle joint. (The
tube and IR will be parallel to eachother.) Collimate to include
as much of the tib/fib possible. A radiopaque marker is placed
just behind the heel for measuring purposes when analizing
alignment.e tibia, radiographically imaging the coronal plane
alignment of the hindfoot.
COLCHER-SUSSMAN
PROJECTION (AP)
Pelvimetry view.
Metal ruler engraved
at cm intervals (Colcher-Sussman pelvimeter) is required.
Patient supine with
the knees flexed and the thighs abducted so that the ruler can be
placed horizontally, centred to the gluteal fold at the level of
the ischial tuberosities.
Centre the vertical
central beam 2.5cm above the symphysis pubis.
COLCHER-SUSSMAN
PROJECTION (LATERAL)
Pelvimetry view.
Metal ruler engraved
at cm intervals (Colcher-Sussman pelvimeter) is required.
Patient lies in the
lateral position thighs extended so that they do not obscure the
symphysis pubis.The ruler is horizontal at the height of and
against the mid sacrum.
Centre horizontal
beam to the greater trochanter.
COYLE TRAUMA
METHODS
Projections of the
radial head and/or the coronoid process of the ulna
Radial head view Elbow flexed 90
degrees and hand pronated. Vertical central ray angled 45 degrees
towards the shoulder. Centre to the radial head.
Coronoid process view
Elbow flexed 80
degrees from extended position with the hand pronated. Vertical
central ray angled 45 degrees away from the shoulder and directed
to the elbow joint.
Ref: Coyle, George
F.(1980).Radiographing Immobile Trauma Patients, Unit 7,
Special Angled Views of Joints - Elbow, Knee, Ankle.
Multi-Media Publishing, Inc., Denver.
CRANIODORSAL HEADVIEW
Hip view.Supine hip with the
knees extended and legs internally rotated. Central ray angled 30
degrees caudally, centre over the hip.
Ref: Schneider (1964).
CRANIOVENTRAL
HEADVIEW
Hip view.
Supine hip centred on
the femoral head with the leg raised 45 degrees.
Ref:Schneider (1964).
D
DANELIUS-MILLER
METHOD
Routine horizontal
beam view of the hip.
DANELIUS-MILLER
MODIFICATION OF LORENZ METHOD
See Danelius-Miller
Method.
DENEER METHOD
See Dunlop Method.
DIDIEE VIEW
Shoulder view.
Patient prone with
cassette under the shoulder. Arm parallel to the table top with a
7.5cm pad under the elbow. Dorsum of hand on the hip with the
thumb directed upward. Beam angled 45 degrees.
DUNCAN-HOEW METHOD
Flexion and extension
views of the lumbar spine (PA and lateral).
DUNLAP, SWANSON,
AND PENNER METHOD
Projection to show
the acetabula in profile.
The patient is sat
upright on the bucky table with their legs over the side. The
vertical central ray is directed 30 degrees towards the lateral
aspect of the pelvis towards the acetabulum.
Ref: Dunlap et al
(1956).Studies of the hip joint by means of lateral acetabular
roentgenograms, J.Bone Joint Surg. 38-A:1218-1230
DUTT'S VIEW
(JOHNSON AND DUTT)
PA oblique of the
cribiform plate.
Head in the PA
position. The head is then rotated towards the affected side until
the median-sagittal plane is 40 degrees to the perpendicular.
Raise the chin until the radiographic baseline is 30 degrees to
the perpendicular. Centre through the orbit in contact with the
film, with the tube angled 10 degrees towards the feet.
E
ERASO METHOD
Projection of the
jugular foramina.
The patient is
positioned as for an AP skull. The chin is then raised and the
central ray is angled upwards to make an angle of 65 degrees to
the OM line. Centre to the midline at the level of the EAM.
Ref: Eraso, S.T. (1961).
Roentgen and clinical diagnosis of glomus jugulare tumors,
Radiology 77:252-256.
F
FALSE PROFILE VIEW
(click here for
a good article)
See Le Quesne
method.
FEIST-MANKIN
METHOD
See Isherwood
method.
FERGUSON'S VIEW
View of the sacro-iliac
joints.
The patient is supine
and the tube is angled 25-30 degrees cranially. With this
projection, the symphysis pubis overlaps the sacrum.
Ferguson view, the patient is
in the same position as for the AP Pelvis. The tube in angled
30-35 degrees cephalic and is centered to the midportion of the
pelvis. It shows the SI
joints more clearly and helps in evaluating injury to the sacral
bone, the pubis, and the ischial rami
Ref: Positioning in Radiography,
K.Clarke, 11th Ed. p139.
FISK METHOD
A projection of
the bicipital groove.
Patient erect. Flex
the elbow, rest the forearm on the cassette and supinate the hand.
Centre to the bicipital groove.
Ref: Fisk, C.
(1965).Adaption of the technique for radiography of the bicipital
groove, Radiol. Technol. 37:47-50.
FLAMINGO VIEWS
Stress views of the
symphysis pubis.
Two views. Patient
stands on each leg in turn. Centre to the symphysis pubis.
FLYING ANGEL
Routine lateral
thoracic inlet view.
Ref: K.Clarke.
Positioning in Radiography. 11th Ed.
FRIEDMAN METHOD
An axiolateral
projection of the femoral head, femoral neck and upper femur.
Position as for
turned lateral hip but angle the vertical central ray 35 degrees
cephalad.
Kisch recommends the
central ray be angled 20 degrees cephalad.
FROG-LEG POSITION
(MODIFIED LAUENSTEIN AND HICKEY METHOD)
Lateral projection of
both hips.
Patient supine with
the knees flexed and legs abducted so the soles of the feet are in
contact.
Ref: K. Clarke,
Positioning in Radiography, 11th Ed.
FUCHS METHOD
Projection of the
temporal styloid process.
Position the
patient as for a lateral skull view. Angle the central ray
cranially 10 degrees and anteriorly 10 degrees and centre to the
styloid process against the film. Both sides for
comparison.
FURMAIER METHOD
Skyline patella.
Ref: The Journal of
Bone and Joint Surgery (1974). 56-A, NO.7, OCTOBER
G
GARTH'S VIEW
Apical axial oblique view of the shoulder - useful for trauma
dislocation cases
Centre to the head of
the humorous.
Patient erect or Supine rotated 45 degrees to the affected side,
central ray angled 45 degrees caudaly.
Ref: Merrill Volune 1 page 145
Discussion:
- used in the instability patient to visulaize the
anterior/inferior glenoid
rim for fractures or calcification following
dislocation;
- Technique:
- patient is seated with the arm at the side;
- cassette is placed posterior, parallel to the spine of the
scapula
- beam is directed thru the glenohumeral joint toward the
cassette
at angle of 45 deg degrees to the plane of the thorax,
and
directed 45 deg caudally;
Roentgenographic demonstration of instability of the shoulder: the
apical
oblique projection. A technical note.
JBJS. 66-A: 1450-1453, Dec. 1984.
GAYNOR-HART METHOD
Inferosuperior carpal
tunnel projection.
Ref:
K.Clarke.
Positioning in Radiography. 11th Ed.
See also Templeton
and Zim method.
GEDDA / Betts or Clements view. It’s basically an
offsetview where you externally rotate the wrist and hand obliquly
it to the image plate at about 45 degrees, and angle cranially
about 5 degrees It not only gives you a full view of the
trapezium, but it gives you a good CMC view and then isolates the
STT and TT joints. It helps to stage arthritic disease and in the
selection of surgical technique
GRANDY METHOD
Routine lateral
cervical spine.
GRASHEY METHOD
(SHOULDER)
Routine view of the
shoulder to demonstrate the glenohumeral joint space (shoulder
turned through 45 degrees).
Ref: K.Clarke.
Positioning in Radiography. 11th Ed.
GRASHEY METHOD
(SKULL)
Demonstrates ?
Patient positioned as
for AP skull with the OM baseline horizontal. Angle the horizontal
central ray down 30 degrees and centre between the upper borders
of the EAMs.
GRASHEY METHODS
(FOOT)
Oblique plantodorsal
projections of the foot.
Patient prone, dorsal
surface of foot in contact with cassette. Centre to the base of
the third metatarsal.
1. To demonstrate the
space between the first and second metatarsals, rotate the heel
medially 30 degrees.
2. To demonstrate
the spaces between the second and third, the third and fourth, and
the fourth and fifth metatarsals, adjust the foot so that the heel
is rotated laterally 20 degrees.
H
HAAS
Demonstrates the
petrous temporal region, foraman magnum, and dorsum sellae.
Head in the PA
position with the radiographic baseline at right-angles to the
film. Centre in the midline to the external occipital protuberance
with the central ray angled 25 degrees cranially.
Ref: Haas,
L.(1927).Verfahren zur sagittalen Aufnahme der Sellage gend,
Fortscr. Roentgenstr. 36:1198-1203.
HARRIS
Axial projection of
the heel. Useful for demonstrating talo-calcaneal bars.
Patient stands with
both feet on the film. The patient leans forward slightly. The
tube is positioned behind the patient and the central ray is
angled 45 degrees towards the heels and is centred between the
medial malleolus.
HARRIS AND BEAM
(SKI JUMP)
Three axial
projections of the calcaneum (both sides).
Patient standing,
central ray central ray centred between the feet and the angled 35
degrees, 40 degrees and 45 degrees.
HAYES VIEW
To demonstrate the
superior-inferior sacro-iliac joints.
Patient sat upright on the bucky
table with their legs over the side. The vertical central
ray is directed along the plane
of the sacro-iliac joint in question.
HENKELTOPF
Routine infero-superior
view of the zygomatic arches (jug handles).
HENSCHEN
Demonstrates the petrous temporal region.
Head in the lateral
position. Centre 5cm above the EAM away from the film, with the
tube angled 15 degrees towards the feet.
HERMODSSON'S VIEW
(INTERNAL ROTATION VIEW)
Shoulder view. Patient supine with
the humerus horizontal to the top of the table. Arm adducted to
the side of the patient, the humerus is internally rotated 45
degrees, and the forearm lies across the anterior trunk. Vertical
central ray is angled 15 degrees towards the feet and centred over
the humeral head.
Ref: Rockwood and
Green's Fractures in Adults, Lippincott.
HERMODSSON'S VIEW
(TANGENTIAL)
Shoulder view
Patient prone. The
elbow is flexed 90 degrees and the dorsum of the hand is placed
behind the trunk, over the upper lumbar spine. The thumb points
upward. The film is placed superior to the adducted arm. The x-ray
tube is placed posterior, lateral and inferior to the elbow joint,
making a 30 degree angle with the humeral axis.
HICKEY (skull)
The profile view of
the mastoid region.
HICKEY (HIP)
See Lauenstein and
Hickey Methods.
HILL-SACHS VIEW
AP shoulder with arm
in marked internal rotation.
HIRTZ

The routine SMV
projection.
Some cases overtilt by 15 degrees
HOBB'S VIEW
View of the
sterno-clavicular joints.
Centre to the midline
at the level of the sterno-clavicular joints.
HOLMBLAD METHOD
View of the knee.
HOUGH METHOD
Projection of the
sphenoid strut.
Patient positioned as
for a PA skull with the radiographic baseline horizontal. Turn the
head 20 degrees towards the side being examined. The horizontal
central ray is angled downwards by 7 degrees so that is emerges
through the orbit on the side being examined.
Ref: Hough, J.E.(1968).Sphenoid
strut: parieto-orbital projection, Radiol. Technol. 39:197-209.
HSIEH METHOD
PA oblique
projections of the hip. Demonstrates posterior dislocations of the
femoral head.
Patient prone with
the unaffected side raised by 45 degrees. Direct the vertical
central ray between the posterior surface of the iliac blade and
the femoral head.
Hsieh, C.K.(1936).
Posterior dislocation of the hip, Radiology 27:450-455.
HUGHSTON
Patella view.
Ref:: Hughston (1968).
Subluxation of the Patella, J. Bone and Joint Surg.,
50-A:1003-26.
I
INLET AND OUTLET
VIEWS (PELVIS)
See Pennal's
views.
ISHERWOOD METHODS
(subtalar region)
1. Projection to
demonstrate the anterior subtalar articulation.
Medial border of the
foot at a 45 degree angle to the cassette. Centre 2.5cm distal and
2.5cm anterior to the lateral malleolus.
2. Projection to
demonstrate the middle articulation of the subtalar joint and give
an end-on view of the sinus tarsi.
Foot in the AP ankle
position. Rotate the ankle 30 degrees medially. Centre to a point
2.5cm distal and 2.5cm anterior to the lateral malleolus with a 10
degree cephalad angulation.
3. Projection to
demonstrate the posterior articulation of the subtalar joint in
profile.
Foot in the AP ankle
position. Rotate the ankle 30 degrees laterally. Centre to a point
2.5cm distal to the medial malleolus with a 10 degree cephalad
angulation.
J
JAROSCHY METHOD
See Hugheston.
JOHNER VIEW
Tangential shoulder
view.
Patient supine with
the elbow flexed and the forearm resting on the abdomen. Film
placed vertically against the superior aspect of the shoulder.
Angle the central ray 20 degrees medially and 20 degrees below the
horizontal. Centre to the head of the humerus.
JOHNSON METHOD
An axiolateral
projection of the femoral head and neck.
Patient in the AP
pelvis position. Place the cassette vertically against the lateral
aspect of the hip of interest. Tilt the cassette backward 25
degrees. Direct the horizontal central ray 25 degrees cephalad and
25 degrees downwards and centre to the femoral neck.
Ref: Johnson,C.R (1932).A
new method for roentgenographic examination of the upper end of
the femur, J. Bone Joint Surg. 30:859-866,
JOHNSON AND DUTT
See Dutt's view.
JONES POSITION
View of the elbow in
flexion. Demonstrates the olecranon process in profile and the
distal humerus. Place the humerus on
the cassette and flex the arm.
Two projections
taken, one with the central ray angled at right angles to the
forearm (for olecranon) and another with the central ray angled at
right angles to the humerous (for distal humerus).
JUDET VIEWS
Oblique views of the
acetabulum.
1. Raise the affected
side by 45 degrees and centre to the affected hip.
2. Raise the
unaffected side by 45 degrees and centre to the affected hip.
Ref: K.Clarke.
Positioning in Radiography. 11th Ed.
JUG HANDLE VIEW
SMV projection of the
zygomatic arches.
K
KANDEL METHOD
Suroplantar
projection to demonstrate clubfoot.
The patient stands on
the cassette. The vertical central ray is angled 40 degrees and
directed to the heel so that it emerges from the midfoot.
Ref: Kandel, B. (1952).
The suroplantar projection in the congenital clubfoot of the
infant, Acta Orthop. Scand. 22:161-173.
KASABACH METHOD
Oblique projection of
the odontoid process.
Patient supine.
Rotate the head 45 degrees away from the side being examined.
Angle the vertical central ray 10 degrees caudal and centre to a
point midway between the outer canthus and the EAM.
Ref: Kasabach, H.H.
(1939). A roentgenographic method for the study of the second
cervical vertebrae, A.J.R 42:782-785.
KEMP-HARPER METHOD
SMV projection of the
jugular foramina.
Patient with back to
the vertical bucky.
Chin elevated until
the OM line is vertical. Angle the horizontal central ray 20
degrees downwards. Centre below the chin so that the central ray
passes between and through the EAM on the side in question.
Ref: Kemp Harper, R.A.(1957).
Glomus jugulare tumors of the temporal bone, J.Fac.
Radiologists 8:325-334.
KISCH METHOD
See Friedman
method.
KITE METHODS
Projections to
demonstrate clubfoot.
True lateral and
dorsoplantar projections of the foot.
KNUTSSON METHOD
Skyline patella.
Ref: The Journal of
Bone and Joint Surger (1974). 56-A, NO.7, October
KOVACS METHOD
Profile image of the
lowermost lumbar intervertebral foramen.
Patient lies on the
affected side and then rotate the pelvis 30 degrees anteriorly.
Centre along a straight line extending from the superior edge of
the uppermost iliac crest through the fifth lumbar segment to the
inguinal region of the dependent side.
Ref: Kovacs, A. (1950)
.X-ray examination of the exit of the lowermost lumbar root,
Radiol. Clin. 19:6-13.
KUCHENDORF METHOD
Oblique PA projection
of the patella.
Patient prone,
elevate the hip on the affected side and slightly flex the knee.
Centre to the joint space between the patella and the femoral
condyles at an angle of 30 degrees caudal.
KURZBAUER METHOD
Unobstructed lateral
projection of the sterno-clavicular articulation.
Patient lies on the
affected side with the arm of that side next to the head. Vertical
central ray directed 15 degrees caudal and centred to the
lowermost sterno-clavicular articulation.
L
LAQUERRIERE AND
PIERQUIN METHOD
Ulnar groove
projection.
Ref: K.Clarke.
Positioning in Radiography. 11th Ed.
LAUENSTEIN AND
HICKEY METHODS
Lateral hip
projection demonstrating the acetabulum and upper end of femur.
LAUENSTEIN
Routine turned
lateral hip projection.
LAUENSTEIN AND
HICKEY METHOD
As for turned lateral
hip but angle the vertical central, ray 20 degrees cephalad.
LAURINS VIEW
View of the patella.
LAW
Demonstrate the petrous temporal region.
Head in the lateral
position, then rotate the head 15 degrees towards the film. Centre
5cm above and 5cm behind the EAM away from the film with the tube
angled 15 degrees towards the feet.
LAW METHOD (FACIAL
BONES)
Projection to
demonstrate the floor and posterior wall of the antrum.
Patient sitting PA
with the head fully extended so that the chin and zygoma of the
side of interest, and the nose, are in contact with the cassette.
Angle the central ray upward 30 degrees from the horizontal and
centre to the lower antrum.
Ref: Law, F.M.(1933).
Nasal accessory sinuses, Ann. Roentgenol. 15:32-51,
53-76.
LAWRENCE METHOD
Lateral view of the
proximal humerus.
Supine, horizontal
beam axial shoulder.
LAWRENCE METHOD
Transthoracic lateral
humerus.
LENTINO METHOD
See carpal bridge
view.
LEONARD-GEORGE
METHOD
Demonstrates the
femoral head and neck.
Patient supine. A
curved cassette is placed on the medial aspect of the leg of
interest (between the thighs). Direct the central ray
perpendicular to the femoral neck.
LEQUESNE METHOD
(FALSE PROFILE VIEW)
View of the
acetabulum in profile.
Patient standing with
their back against the vertical bucky. Move the unaffected hip
forward so that the pelvis makes an angle of 60 degrees with the
bucky. Central the horizontal central ray the affected hip. See also Urist's
view.
LETOURNEL VIEW
Iliac wing view.
LEWIS METHOD
The routine view of
the sesamoid bones of the first metatarsal.
Ref: K.Clarke. Positioning
in Radiography. 11th Ed.
LILIENFELD (CALCANEUM)
See coalition view.
LILIENFELD (HIP)
A posterolateral
projection of the ileum and acetabulum.
Patient prone then
raise the unaffected side by 75 degrees. Centre at the level of
the greater trochanter of the hip in contact with the film.
LILIENFELD (SYMPHYSIS
PUBIS)
An superoinferior
projection of the pubic and ischial bones and symphysis pubis.
Position as for AP
pelvis then raise the body by 45 degrees. Centre in the midline at
the level of the greater trochanter. See also Staunig
Method.
LINDBOLM
AP lordotic chest.
Patient leans back 30+ dgerees,
centre to mid sternum.
LODGE-MOOR
PROJECTIONS
Lateral oblique
projections to demonstrate the cervical articular facets (four
views in total). Patient supine with
the X-ray tube on the right hand side. First projection with the
patients right side elevated by 20 degrees. Second projection with
patients left side elevated by 20 degrees. For both views, centre
the horizontal central ray to C5. When the raised side is nearest
to the tube then angle 5 degrees cephalad. When the raised side is
away from the tube then angle 5 degrees caudal. Repeat the two
projections from the left side.
LORENTZ METHOD
(MODIFICATION)
See Danellus-Miller
method.
LOW-BEER METHOD
Parietotemporal
projection.
Position the head in
the lateral position. Angle the horizontal central ray upward 10
degrees and anteriorly 33 degrees. Centre to the back of the head
so that the beam enters at the level of the lower orbital margin
and passes through the foraman magnum.
Similar appearances
to Stenvers view.
LOWENSTEIN'S VIEW
Routine frog lateral
hips.
LYSHOLM METHOD
Profile view of the
petrosa, IAM, and the mastoid cells. Head in the lateral
position then rotate 15 degrees towards the affected side. Angle
the central ray 30 degrees from the vertical and centre through
the foraman magnum.
M
MAY View
View to demonstrate
the zygomatic arch.
Head in the PA
position with the chin raised as far as possible. The head is then
rotated 15 degrees away from the side being examined. Centre
through the zygomatic arch, with the tube angled towards the feet
so that the central ray is at right-angles to the radiographic
baseline.
MACNAB'S VIEW
View of the patella.
MACQUEEN-DELL
Transpharyngeal view
of the head of the mandibular condyle.
The film is parallel
to the median sagittal plane and centred to the EAM of the
affected side. The central ray is angled 5 degrees cranially and 5
degrees posteriorly towards the condyle to be examined.
MARTZ AND TAYLOR
Two AP projections of
the pelvis to demonstrate the relationship of the femoral head to
the acetabulum in patients with CDH.
First projection with
the central ray at right angles to the symphysis pubis.
Second projection
with the central ray directed 45 degrees towards the head and
centred to the symphysis pubis. This casts an anteroirly displaced
femoral head above the acetabulum. A posteriorly displaced head is
cast below the acetabulum.
Ref: Martz and Taylor
(1954). The 45 degree angle roentgenographic study of the pelvis
in congenital dislocation of the hip, J.Bone Joint Surg.
36-A:528-532.
MAYER
To demonstrate the
petrous temporal region.
Patient in the AP
position with the radiographic baseline at right-angles to the
film. Rotate the head 45 degrees towards the side being examined,
and centre through the EAM nearest the film, with the tube angled
45 degrees towards the feet.
MERCEDES VIEW
Routine superior-inferior axial shoulder view, or lateral
scapula view
MERCHANT'S VIEW
View of the patella. Patient supine. Knees
flexed 45 degrees over the end of the table. Position femora so
that they are parallel to the table top. Place knees and feet
together. Angle the central ray 30 degrees from the horizontal (
30 degrees to femora). Centre midway between patellae.
Ref: Merchant, A, et al
(1975). Reontgenographic Analysis of Patellofemoral Congruance,
J. Bone and Joint Surg., 56-A: 1391-96, Oct.
MILLER METHOD
Projection of the
hypoglossal canal.
Patient positioned as
for an AP skull with the radiographic baseline horizontal. Rotate
the head 45 degrees towards the side in question. The horizontal
central ray is angled downwards an unknown number of degrees so
that it passes through the foraman magnum.
MILLER'S VIEW
To demonstrate
anterior or posterior dislocation of the shoulder.
The patient is
positioned as for the routine trauma shoulder view. The tube is
then angled 45 degrees towards the feet and centred to the glenoid.
If the head of the
humerus is projected below the glenoid then the dislocation is
anterior.
If the head of the
humerus is projected above the glenoid then the dislocation is
posterior.
MODIFIED CLEAVES
Hip view. Frog view with the
thighs abducted to approx. 40 degrees. Centre 2.5cm above the
symphysis pubis.
MODIFIED FUCHS
METHOD
Projection of the
temporal styloid process. Details not known.
MORTISE VIEW
True AP ankle.
N
NOLKE METHOD
Projection of the
upper sacral canal.
Patient sits upright
on the bucky table with the feet over the side of the table and
leans forward. Centre to the sacrum.
NORGAADS VIEW
(BALL CATCHERS VIEW)
Projection of both
hands. Supination of each
hand to an angle of 35 degrees . Centre midway between the heads
of the fifth metacarpals.
O
OPPENHEIM'S VIEW
Cephaloscapular
projection.
X-ray beam passed
from superior to inferior across the glenoid face to a cassette
behind the patient who is leaning forward.
OUTLET VIEW
See supraspinatus
outlet view.
P
PAWLOW METHOD
Swimmer's view with
the patient on their side.
PEARSON METHOD
A bilateral AP
projection of the acromoclavicular joints. Both joints taken in
one expose on a wide film.
PENNAL'S VIEWS
(TILE'S VIEW)
Trauma views to show
the pelvic inlet and outlet.
VIEW 1
Patient positioned as
for an AP pelvis. Angle the central ray 40 degrees caudally and
centre midway between the ASIS.
VIEW 2
Patient positioned as
for an AP pelvis. Angle the central ray 40 degrees cranially and
centre in the midline 4cm below the upper border of the symphysis
pubis.
Ref: Tile M. and Pennal
G. Fractures of the Pelvis. Chapter 15.
PILLAR VIEWS
Cervical spine views
to demonstrate the posterior intervertebral joints.
Position as for AP
cervical spine. Take two exposures, one with the head rotated at
right-angles to the left and one with the head rotated at
right-angles to the to the right. Angle the vertical central ray
30 degrees towards the feet. Centre just behind the angle of the
mandible with the top of the cassette at the level of the EAM.
Ref: K.Clarke.
Positioning in Radiography, 11th Ed, p157.
PIRIE
This is the routine
OM 30 sinus view with the mouth open.
Ref: Goldman and Cope.
A Radiographic Index. Wright Publishing, Bristol..
PORCHER-POROT
Oblique
transmaxillary view of the foramen jugulare.
The radiographic
baseline is vertical. The tube is angled 55 degrees cranially. The
head is then rotated 40 degrees away from the affected side.
Centre midway between the EAM and the angle of the mouth on the
affected side.
PRAYER POSITION
Lateral calcanei.
Legs abducted and the
planar surfaces of the feet placed together. Centre between the
heels.
Q
QUESADA METHOD
Projections of the
clavicle. Patient prone.
1. Centre to the
midpoint of the clavicle at an angle of 45 degrees caudal.
2. Centre to the
midpoint of the clavicle at an angle of 45 degrees cephalad.
Ref: Quesada, F (1926).
Technique for the roentgen diagnosis of fractures of the clavicle, Surg. Gynecol. Obstet. 42:424-428.
R
REVERSE TOWNES
Demonstrates the
condyles, condylar heads and condylar hypo/hyperplasia.
PA Townes (
half-axial skull) with 30 degree angulation.
REVERSE WATERS
Method (AP) facial bones.
RHESE METHOD
The routine PA
oblique of the optic foramen
Ref: K. Clarke.
Positioning in Radiography, 10th ed.
RIPPSTEIN METHOD
Foreshortened view of
the femurs and femoral neck.
Requires a Rippstein
leg support.
Patient supine with
the hips flexed 90 degrees and abducted 20 degrees. The legs are
parallel in a Rippstein leg support. Vertical central ray centred
to the symphysis pubis.
Ref: Rippstein, J. (1955).
On Assesment of the Neck of the Femur by Means of Two X-rays.
Z. Orthop. 86; 345-360.
RISSER METHOD
Demonstrates both
iliac crests and epiphysis.
Patient supine.
Centre to the iliac crests.
Ref: Risser, J.C.(1958).
The Iliac Apophysis: An invaluable sign in the management of
scoliosis, Clin. Orthop. 11: 111-119.
ROCHER

AP Skull centred through orbits
ROBERT'S VIEW
True AP thumb.
ROSENBERG METHOD
45 degree
posteroanterior flexion weight-bearing view of the knee.
Ref: Rosenburg T. et al. The Journal of Bone and Joint Surgery
S
SANSREGRET
MODIFICATION OF CHAUSSE III METHOD
Slight oblique
projection of the petrosa and attic wall.
Patient supine.
Rotate the head 10 degrees away from the side of interest. Adjust
the infraorbitomeatal line so that it is 30 degrees from the
vertical. Centre to a point 2.5 cm medial to the EAM at the level
of the upper orbital margin on the affected side.
Ref: Sansgret, A.(1963),
Technique for the study of the middle ear, A.J.R. 90:1156-1166.
SCHNEIDER METHOD
Demonstrates the
upper contour of the femoral head.
1. Patient supine
with the femour flexed 60 degrees.
2. Patient supine
with the femour flexed 30 degrees.
Vertical
central ray centred to the hip joint.
SCHULLER
Lateral view of the
petrous temporal region.
SERENDIPITY VIEW
View of the
sterno-clavicular joints.
Patient supine. Angle
the horizontal central ray 40 degrees towards the head. Centre
midway between the sterno-clavicular joints.
SETTEGAST METHOD
Tangential projection
of the patella.
Patient prone. Knee
flexed to at least 90 degrees . Centre to the patellofemoral joint
space. The degree of angle is dependent on the amount of knee
flexion but should be 15-20 degrees towards the joint space.
SIMMONS VIEWS
To demonstrate
congenital talipes equinovarus.
1.AP of both feet
with the x-ray tube angled 30 degrees to the hindfoot.
2.AP of each foot
with the foot held in the position of fullest correction. The
x-ray tube is angled 30 degrees to the hindfoot.
3.Lateral of each
foot. The film is placed against the medial aspect of the foot and
a horizontal beam is used.
Ref: Simmons G.W (1977),
Analytical radiographs of club foot. Journal of bone and joint
surgery. 59B(4): 485-9.
STAUNIG METHOD
An inferosuperior
projection of the pubic and ischial bones and symphysis pubis.
Patient prone. Centre
to the symphysis pubis with the central ray angled 35 degrees
cephalad.
See also Lilienfeld
Method.
STECHER METHODS
Projections of the
scaphoid.
1. PA wrist position
with the cassette inclined by 20 degrees so that the hand is
higher than the wrist. Centre to the scaphoid.
Bridgeman view
has the wrist in ulnar flexion.
2. PA wrist position
with the forearm horizontal and the central ray angled 20 degrees
towards the elbow. Similar projection to 1.
3. PA wrist position
with the fist clenched. This position tends to widen the fracture
line.
Ref: Stecher, W.R. (1937).
Roentgenography of the carpal navicular bone, A.J.R. 37:704-705.
STENVER
Oblique view of the
petrous temporal region.
Ref: K. Clark,
Positioning in Radiography, 11th Ed.
STOCKHOLM C
Similar to
Stenver's view but designed for use with a skull unit.
Head in the lateral
position, with the centre of the bucky 2.5cm in front of the EAM
and 1cm above the orbitimeatal line. The tube is angled 10 degrees
towards the head, and 30 degrees towards the face. The grid must
be rotated accordingly.
Ref: Goldman and Cope.
A Radiographic Index. Wright Publishing, Bristol..
STORK METHOD
See Flamingo view.
STRYKER'S VIEW
Technique:
- the patient is supine;
- a cassette is placed under the involved shoulder
- the palm of the hand of the affected extremity is placed on
top
of the head with the fingers toward the back of the
head;
- the beam is centered over the occur;
- coracoid process and tilted 10 deg cephalad;
Demonstrates defects
in the posterolateral aspect of the humeral head
Ref: K.Clarke.
Positioning in Radiography. 11th Ed.
SUPRASPINATUS
OUTLET VIEW
Modification of the
scapular Y (transscapular) view. Demonstrates the anterior
third of the acromion.
Patient standing and
position 30-40 degrees posterior obliquely or 40-60 degrees
anterior-obliquely, and the horizontal central ray is angled 10-15
degrees caudally.
Demonstrates Shoulder Impingment.
SWANSON METHOD
See Dunlop method.
T
TALAR NECK VIEW
Foot view.
Patient lies supine.
The knee is flexed so that the sole of the foot is in contact with
the cassette then internally rotate the foot by 15 degrees. The
vertical central ray is angled 15 degrees towards and centred to
the midfoot.
TARRANT METHOD
A method to
demonstrate the clavicle projected above the thoracic cage.
Patient sitting with
the cassette on the lap. Central ray directed from behind the
patient to the clavicle. The central ray is at right angles to the
coronal plane of the clavicle.
Ref: Tarrant, R.M. 91950).
The axial view of the clavicle, X-ray Techn. 21:358-359.
TAYLOR METHOD
(MASTOID)
SMV projection to
demonstrate the mastoid processes,IAM ,EAM and inferior petrosal
sinuses.
Patient sitting, OM line vertical. Centre to the midline
2.5cm anterior to the level of the EAM at an upward angle of 20
degrees.
Ref: Taylor, H.K. (1931).
The roentgen findings in suppuration of the petrous apex, Ann
Otol. Rhinol. Laryngol 40:367-395.
TAYLOR METHOD
(PELVIS)
An inferosuperior
projection of the pubic and ischial rami.
Position as for AP
pelvis. Centre 5cm distal to the upper border of the symphysis pubis with a 25 degree cephalad angulation (male) or a 40
degree cephalad angulation (female).
TEMPLETON AND ZIM
METHOD
Superoinferior carpal
tunnel projection.
The forearm is placed
at right angles to the cassette with the hand in contact with the
cassette. Direct the vertical central ray through the carpal
tunnel at an angle of 40 degrees towards the fingers.
Ref:
Templeton, A.W., and
Zim, I.D.(1964). The carpal tunnel view, Mo. Med. 61:443-444.
See also
Gaynor-Hart method.
TEUFEL METHOD
Acetabulum and
femoral head margin including the fovea capitis.
Patient in 35-40
degrees anterior oblique position. Centre 2.5cm superior to
the level of the greater trochanter. Central ray angled 12 degrees
cephalic.
THOMS’ METHOD
(AP, PELVIC INLET)
Pelvimetry view.
Requires the use of
the Thoms’ positioning device (patient positioning platform
with backrest).
The patient is seated
on the positioning device at an angle of 50 degrees. The backrest
is then adjusted to bring the plane of the pelvic inlet parallel
to the plane of the film. Abduct legs and place posterior
indicator arm of device against the area of L4/L5. Anterior
indicator arm is positioned between the legs against the pelvis, 1
cm below the symphysis pubis.
Centre vertical
central ray 6cm posterior to the symphysis pubis.
THOMS’ METHOD
(LATERAL)
Pelvimetry view.
Patient standing
in the lateral position. Metal centimetre marked ruler is placed
between the buttocks against the sacrum. Horizontal central ray
directed to a point between the symphysis pubis and the depressed
area located inferior to L5.
TIEGE'S VIEW
Trauma axillary view.
Patient supine with
the cassette above the shoulder. The forearm is brought across the
chest and the horizontal central ray is centred to the shoulder
joint.
TILE
See Pennal’s view.
TITTERINGTON
The routine OM 30
view.
TOWNES
The routine half-axial
view of the skull.
Ref:
K.Clarke.
Positioning in Radiography. 11th Ed.
TUBEROSITY VIEW
View of the elbow.
Elbow AP, angle 20
degrees towards the olecranon. Various degrees of rotation are used.
TWINNING METHOD
Swimmer's view for C7/T1
U
URIST'S VIEW
View of the acetabular
rim in profile. Patient supine, injured side elevated 60 degrees.
See also Lequesne
method.
V
VEIHWEGER METHOD
Ulnar groove
projection.
Ref: Positioning in
Radiography , K.Clarke, 11th ed.
VALDINI
Demonstrates the
squamous portion of the occipital bone and the foramen magnum.
Head in the PA position
with the chin tucked in as far as possible and the frontal region
resting on the film, with the radiographic base-line tilted 45-50
degrees downwards. Centre in the midline at the level of the EAM.
Ref:
Goldman and Cope. A
Radiographic Index. Wright Publishing, Bristol..
VELPEAU VIEW
Axillary lateral view
of the shoulder.
Patient stands with
their back against the table and leads backwards. Centre the
vertical central ray to the shoulder joint.
Ref: Rockwood and Green's
Fractures in Adults, Lippincott.
VOGT BONE-FREE
PROJECTIONS
AP and lateral views of
the eye using dental film.
W
WALLACE-HELLIER VIEW
View of the shoulder.
The patient sits with
their back to the table and the affected shoulder is turned towards
the table so that the blade of the scapula is parallel to the table
side. The vertical central ray is angled 30 degrees towards the
anterior aspect of the shoulder. Centre to the shoulder joint.
Ref:
Wallace H A and Hellier
M, Improving radiographs of the injured shoulder, Radiography, 1983,
49, 229-233.
WATERS
The routine OM view of
the sinuses.
Ref:
K.Clarke.
Positioning in Radiography. 11th Ed.
WEST POINT SHOULDER
(WEST POINT AXILLARY LATERAL)
Patient prone. Shoulder
raised on a pad. Head turned away from affected side. Cassette
against superior aspect of shoulder. Centre to the axilla. Angle 25
degrees downward from the horizontal and 25 degrees medially. This
gives a tangential view of the anteroinferior rim of the glenoid.
WIGBY-TAYLOR METHOD
Open mouth oblique
projection of the styloid process of the skull.
Position the patient as
for an AP skull then rotate the head 78 degrees to the affected
side. Angle the central ray cranially 8 degrees and centre to the
styloid process nearest the film.
Both sides for
comparison.
WILLIAMS METHOD
Projection to demonstrate the costovertebral and costotransverse
joints.
Patient supine. Angle the central ray 20 degrees cephalad and centre
to the sixth thoracic vertebrae.
WINDOW VIEW
Demonstrates the kidneys during an IVP in an infant.
Child positioned as for an AP abdomen. Angle the vertical central
ray 35 degrees towards the feet. This projects the kidneys through
the liver on the right and the stomach on the left.
Ref: RADIOGRAPHY; XLV:538.
WORMS

AP skull
25 degree angle between OM baseline and central ray
Y
Y VIEW
Axial shoulder or lateral scapula.
Z
ZANCA'S VIEW
As for the routine view of the ACJ but with a 10-15 degree
cephalic tilt of the x-ray beam.
ZANELLI METHOD
Projection to demonstrate the TMJs in the open and closed
positions.Patient lateral with the head 30 degrees away from the
vertical i.e. top of head against the cassette. Centre 2.5cm
anterior to the EAM.
ZIMMERS VIEW
Transorbital TMJ view.
Patient holds cassette behind TMJ. Mouth open wide. Position the
tube at the outer canthus of the opposite eye and aim downwards and
backwards across the orbit to the condyle under investigation.
Ref: Eric Whaites , Essentials of
Dental Radiography and Radiology Churchill Livingston.
ZITER'S VIEW
Scaphoid view.
Wrist PA with ulnar deviation. Angle the tube 25 degrees up towards
the elbow. Centre between the styloid processes.
Ref: Radiography (1983), 49,
229-233.
Adapted from a list
by A.J.Watkins LLB(Hons), DCR(R), SRR, BSc(Hons), FGS |